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NPI Code Detail

MEDICARE: SUCCESS ON THE SPECTRUM LLC

MEDICARE: SUCCESS ON THE SPECTRUM LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1407220346
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUCCESS ON THE SPECTRUM LLC
Provider Business Mailing Address
First Line : 8181 COMMERCE PARK DR STE 726
Second Line :
City : HOUSTON
State : TX
Zip : 77036-7449
Country : US
Telephone Number : 346-217-8328
Fax Number : 844-561-3797
Provider Business Practice Location Address
First Line : 8181 COMMERCE PARK DR STE 726
Second Line :
City : HOUSTON
State : TX
Zip : 77036-7449
Country : US
Telephone Number : 346-217-8328
Fax Number : 844-561-3797
Authorized Official
Title or Position : CEO
Name : MRS. NICHOLE DAHER
Credential :
Telephone Number : 346-217-8328
Provider Enumeration Date : 11/16/2015
Last Update Date : 03/17/2026

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Directions to “SUCCESS ON THE SPECTRUM LLC ” Practice Location

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